Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 63902 | OR |
N | 2251P0200X | Physical Therapist - Pediatrics | 291982 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | 63902 | OR |
NPI | 1083191803 |
---|---|
Provider Name | Dr. Alieh Zamany |
First Address | Eugene, OR 97403-1354 |
Second Address | Eugene, OR 97403-1354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2018 |
Last Update Date | 16/12/2020 |